ATI Scope and Standards of Practice
Define scope of practice
First, the state legislature passes a law, identified as the NPA, to regulate nursing practice within the state. Next, the state legislature identifies a regulatory body, such as the state board of nursing (BON)
A nurse is reviewing the licensing laws in their state of residence. Which of the following statements should the nurse use to define licensure?
Licensure protects the health and welfare of the public.
A newly lived nurse is reviewing information about the National Council of State Board of Nursing (NCSBN) Transition to Practice (TTP) program. Which of the following factors should the nurse expect?
TTP programs increase job retention
Nurse Licensure Compact (NLC)
permits nurses to practice in their home state and other compact states under one multi-state license
The American Nurses Association (ANA)
a professional organization for registered nurses, has established standards for both nursing practice and professional performance
A nurse is teaching a group of nurses and asks which of the NLN integrating competencies is defined as having respect for diversity, holistic care, client-centered approach, and client advocacy. Which competencies does this describe?
Human flourishing
A nurse resides in a state that recently enacted the Nurse licensure Compact (NLC). Which of the following information should the nurse identify as a part of the NLC?
NLC allows a nurse to practice in their primary state of residence and in other compact states under one multistate license.
What is the NCLEX exam?
Nationwide standardized test for the examination and licensing of either registered nurses or practical nurses developed by the National Council of State Boards of Nursing
A nurse holds a single state nursing license and is preparing to move to another state. For the nurse to apply for reciprocity, which of the following actions should the nurse take?
Present a current and valid nursing license Submit an application Pay the fees for new license
A nurse is reviewing the scope of nursing practice. Which of the following is the purpose of the nursing scope of practice?
Specifies the actions a nurse can perform.
A nurse is providing client care using the nursing process. The nurse should identify that which of the following standards or guidelines includes this criterion?
Standards of practice
A nurse is responsible for their actions with whom they interact professionally, including clients, colleagues, and society as a whole. Which of the following components of the practice of nursing addresses this expected behavior?
Standards of professional performance
A nurse receives a license renewal notification from the board of nursing. The nurse should identify that a license renewal requires the disclosure of which of the following?
Substance use within the past 5 years
A nurse is delivering client care in partnership with multidisciplinary members of the health care team. This is an example of which of the following QSEN competencies?
Teamwork and collaboration
A nurse is educating a group of nurses about the Nurse Practice Act (NPA). Which of the following statements should the nurse include?
The NPA contains current laws and regulations for nursing practice The NPA contains standards and scope of practice The nurse is responsible to know current roles and responsibilities as defined by the NPA
A newly licensed nurse is reviewing electronic information about the NCLEX exam from the National Council of State Board of Nursing (NCSBN) website. Which of the following information should the nurse identify as passing criteria for the NCLEX computerized adaptive test (CAT)?
The computer will stop giving items using the 95% confidence interval rule
A newly licensed nurse is reviewing the standards of care when performing client care. Which of the following describes a standard of care?
The level of care a nurse provides that is the same for all nurses who have comparable education, competency, and experience.
A graduate nurse is offered a position in the emergency department upon the granting of initial licensure. Which of the following information should the graduate nurse identify as a requirement during the initial licensure process
Verification of graduation Criminal background check in certain states Passing Score on NCLEX examination Self-disclose of any substance use in the past 5 years
Certification
a method in which an individual, such as a nurse licensed to practice in the nursing profession, demonstrates that he or she has met specific predetermined standards for specialty practice
Credentialing
a process that provides confirmation of an individual's abilities to practice as a health professional. It requires the individual complete a program of study and demonstrate abilities established as standards of care. it also refers to the process by which an employer verifies that the nurse has the necessary education, training, and experience to practice in the state
Certificate Programs
additional educational opportunities that cover very specific content, such as leadership and management, and which a nurse can choose to take following initial licensure
The five sequential steps utilized by registered nurses
assessment, analysis, planning, implementation, and evaluation
The Standards of Practice
correspond to the critical thinking model known as the nursing process. The nursing process guides nurses in the delivery of care and includes sequential steps
The four sequential steps used by LPNs
data collection, planning, implementation, and evaluation
what are the four competencies that new graduates should demonstrate
human flourishing, nursing judgment, professional identity, and spirit of inquiry
what does licensure provide?
it provides a means of protecting the public's health and welfare; it ensures that a nurse has met predetermined minimum requirements necessary for the delivery of safe and competent care
State Nurse Practice Acts (NPA)
serves as the current laws and regulations governing nursing practice in every state and territory of the United States
State Nurse Practice Acts
the current laws and regulations governing nursing practice in every state and territory of the United States
Standards of Professional Practice
these are specific to the practice of nursing; they are created to establish expectations for professional behavior and to protect the nurse, the client, and the facility where client care is practiced
The BSN Essentials
this consists of nine essentials that outline those competencies that graduates from a pre-licensure baccalaureate program should achieve through completion of the academic program
Standards of Professional Performance
this defines competent behavior of all registered nurses, such that care is provided in an ethical manner with respect for cultural diversity
The Quality and Safety Education for Nursing (QSEN)
this project developed competencies that nursing students should acquire in nursing school. The six competencies are patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics
Standards of care
this refers to the level of care a nurse provides as compared with other nurses who have comparable education, competency, and experience
NLN Integrating Competencies
used as a resource to ensure all students in pre-licensure nursing programs have received the same level of education upon entry to practice